Cerebral Hemorrhage, Head Injury, Non Traumatic Post Surgery, Poly Trauma Patients Without Heart Failure, Renal Insufficiency
Conditions
Keywords
ProADM, ProANP, proendothelin, proAVP, Cr 51, Volemia, fluid management, ICU patients, poly trauma patients
Brief summary
The purpose of this study is to determine whether the Biomarkers (pro adrenomedullin (MR proADM), pro arginin vasopressin (CT proAVP), pro atrial natriuretic peptid (MR proANP), Pro Endothelin) changes at Day 2, Day 5 and Day 7 of ICU admission are correlated with Intravascular volume assessed by Cr 51 on red blood cells (Day 2 and Day 7) and by I 125 on albumine Day 7. The correlation of these Biomarkers are also evaluted with other markers such as erythropoietin and catecholamines. 80 ICU patients are included.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* 20 Cerebral Hemorrhage * 20 Head Injury * 20 post surgery non traumatic non neuro * 20 Polytrauma patients
Exclusion criteria
* Heart failure NYHA III or IV * Renal insufficiency creatinin clearance \< 30 ml/mn * age \< 18 Y * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Predictive value of biomarkers changes in Volemia variation | at Day 2, Day 5 and Day 7 of ICU admission | Correlation with total blood volume(assessed by Cr 51) and biomarkers(Mr proADM, Mr proANP, CT proAVP and proendothelin)changes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Predictive value of biomarkers changes with efficient volemia, fluid managements and other Markers such erythropoietin | at Day 2, Day 5 and Day 7 of ICU admission | Correlation with efficient volemia and Biomarkers ( Mr proADM, Mr proANP, CT proAVP and proendothelin)changes. |
| Predictive value of Biomarkers with APACHE II and SOFA score and Prognosis at ICU discharge | at Day 2 , Day 5 and Day 7 of ICU admission and at discharge | Correlation of Biomarkers changes with APACHE II and SOFA score and Mortality at Day 2, Day 5 and Day 7 of their ICU admission and at ICU discharge. |
Countries
France